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General NPI Number Information
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NPI Number | 1922519925
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Entity Type | Organization
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Legal Business Name | MICHAEL H. CHOW, D.D.S., P.C.
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 49 LAWRENCE ST
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City | METHUEN
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State | MA
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Zip | 01844-4446
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Country | US
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Telephone | 978-689-9777
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Fax | 978-689-9777
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Provider Business Mailing Address
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Address Line | 49 LAWRENCE ST
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City | METHUEN
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State | MA
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Zip | 01844-4446
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Country | US
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Telephone | 978-689-9777
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Fax | 978-689-9777
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. MICHAEL H. CHOW
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Credential | DDS
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Telephone | 978-689-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 14280
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 14280
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License Number State | MA
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